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$ wa t e r ma r k -t e xt
$ wa t e r ma r k -t e xt
$ wa t e r m
a r k -t e xt
CONDE-AGUDELO et al. Page 25
T A B L E 1
s i n c l u d e d
N o o f w o m e n w
i t h
C L < 2 5 m m ,
s i n g
l e t o n g e s t a t
i o n ,
a n d p r e v
i o u s
p r e t e r m
b i r t
h
g c o u n
t r i e s
P r i m a r y
t a r g e t p o p u
l a t i o n
I n c l u s i o n
/ e x c
l u s i o n c r
i t e r
i a
I n t e r v e n t
i o n g r o u p
C o n
t r o l g r o u p
G e s
t a t i o n a l
a g e a t
s c r e e n
i n g
( w e e
k s )
I n t e r v e n
t i o n
C o i n t e r v e n t
i o n s
P r i m a r y o u
t c o m e
e d w
i t h p l a c e b o
d o m , C
h i l e ,
e
W o m e n w i t h a s h o r t c e r v i x
I n c l u s i o n : w o m e n w i t h a s i n g l e t o n o r t w i n
p r e g n a n c y a n d a s o n o g r a p h i c c e r v i c a l l e n g t h
1 5 .
1 5
2 3
2 0 2 5
V a g i n a l p r o g e s t e r o n e
c a p s u l e ( 2 0 0 m g / d a y )
o r p l a c e b o f r o m 2 4 t o
3 3 6 / 7 w e e k s o f
g e s t a t i o n
N o
S p o n t a n e o u s p r e t e r m
b i r t h < 3 4 w e e k s
E x c l u s i o n : m a j o r f e t a l a b n o r m a l i t i e s , p a i n f u l
r e g u l a r u t e r i n e c o n t r a c t i o n s , a
h i s t o r y o f
r u p t u r e d
m e m b r a n e s , o r c e r v i c a l c e r c l a g e .
, S o u
t h
C z e c h
hi l e
, E l
W o m e n w
i t h a
h i s t o r y o f
s p o n t a n e o u s p r e t e r m b i r t h
I n c l u s i o n : w o m e n w
i t h a s i n g
l e t o n p r e g n a n c y ,
1 8 4 5 y e a r s o f a g e , a n d a h i s t o r y o f
s p o n t a n e o u s s i n g l e t o n p r e t e r m b i r t h a t b e t w e e n
2 0 a n d 3 5 w e e k s o f g e s t a t i o n i n t h e
i m m e d i a t e l y p r e c e d i n g p r e g n a n c y .
9
1 3
1 6 2
2
V a g
i n a l p r o g e s
t e r o n e
g e l ( 9 0 m g / d a y ) o r
p l a c e b o f r o m 1 8 2 2 t o
3 7 0 / 7 w e e k s o f
g e s t a t i o n , r u p t u r e o f
m e m b r a n e s o r p r e t e r m
d e l i v e r y , w
h i c h e v e r
o c c u r r e d f i r s t .
N o
P r e t e r m
b i r t h
< 3 2
w e e k s
E x c l u s i o n : p l a n n e d c e r v i c a l c e r c l a g e , h
i s t o r y
o f a d v e r s e r e a c t i o n t o p r o g e s t e r o n e , t r e a t m e n t
w i t h p r o g e s t e r o n e w i t h i n 4 w e e k s b e f o r e
e n r o l l m e n t , t r e a t m e n t f o r a s e i z u r e d i s o r d e r , a
p s y c h i a t r i c i l l n e s s o r c h r o n i c h y p e r t e n s i o n a t
t h e t i m e o f e n r o l m e n t , h i s t o r y o f a c u t e o r
c h r o n i c c o n g e s
t i v e
h e a r
t f a i
l u r e , r e n a l
f a i l u r e ,
u n c o n t r o l l e d d i a b e t e s m e l l i t u s , a c t i v e l i v e r
d i s o r d e r , H I V i n f e c t i o n w i t h a C D 4 c o u n t o f
< 3 5 0 c e l l s / m m
3 a n d r e q u i r i n g m u l t i p l e
a n t i v i r a l a g e n t s , p l a c e n t a p r e v i a
, h i s t o r y o r
s u s p i c i o n o f b r e a s t o r g e n i t a l t r a c t m a l i g n a n c y ,
h i s t o r y o r s u s p i c i o n o f t h r o m b o e m b o l i c
d i s e a s e , M l l e r i a n d u c t a n o m a l y , m a j o r f e t a l
a n o m a l y o r c h r o m o s o m a l d i s o r d e r , o
r
m u l t i f e t a l g e s t a t i o n .
W o m e n a t h i g h r i s k o f p r e t e r m
b i r t h
I n c l u s i o n : w o m e n w i t h a l e a s t o n e p r e v i o u s
s p o n t a n e o u s p r e t e r m b i r t h , u
t e r i n e
m a l f o r m a t i o n o r t w i n p r e g n a n c y .
3
3
2 0 2 4
V a g i n a l p r o g e s t e r o n e
s u p p o s i t o r y ( 1 0 0 m g /
d a y ) o r p l a c e b o f r o m
2 4 t o 3 4 w e e k s o f
g e s t a t i o n .
N o
P r e t e r m b i r t h < 3 7
w e e k s
E x c l u s i o n : i n - p l a c e o r p l a n n e
d c e r v
i c a l
c e r c l a g e
, o r s e r i o u s f e t a l a n o m a l i e s
, R e p u b
l i c o f
le , C
z e c h
d i a , I s r a e l ,
W o m e n w
i t h a s h o r
t c e r v i x
I n c l u s i o n : w o m e n w
i t h a s i n g
l e t o n p r e g n a n c y ,
t r a n s v a g i n a l s o n o g r a p h i c c e r v i c a l l e n g t h
4 8
4 4
1 9 2
3
V a g
i n a l p r o g e s
t e r o n e
g e l ( 9 0 m g / d a y ) o r
p l a c e b o f r o m 2 0 2 3 t o
E m e r g e n c y c e r v
i c a l
c e r c l a g e ( 4 i n v a g i n a l
p r o g e s t e r o n e g r o u p
P r e t e r m
b i r t h
< 3 3
w e e k s
-
8/13/2019 progesteron vagina1
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$ wa t e r ma r k -t e xt
$ wa t e r ma r k -t e xt
$ wa t e r m
a r k -t e xt
CONDE-AGUDELO et al. Page 26
N o o f w o m e n w
i t h
C L < 2 5 m m ,
s i n g
l e t o n g e s t a t
i o n ,
a n d p r e v
i o u s
p r e t e r m
b i r t
h
g c o u n
t r i e s
P r i m a r y
t a r g e t p o p u
l a t i o n
I n c l u s i o n
/ e x c
l u s i o n c r
i t e r
i a
I n t e r v e n t
i o n g r o u p
C o n
t r o l g r o u p
G e s
t a t i o n a l
a g e a t
s c r e e n
i n g
( w e e
k s )
I n t e r v e n
t i o n
C o i n t e r v e n t
i o n s
P r i m a r y o u
t c o m e
S o u t h A f r i c a ,
b e t w e e n
1 0 a n d 2 0 m m , a n d w i t h o u t s i g n s o r
s y m p t o m s o f p r e t e r m l a b o r .
3 6 6 / 7 w e e k s o f
g e s t a t i o n , r u p t u r e o f
m e m b r a n e s o r p r e t e r m
d e l i v e r y , w h i c h e v e r
o c c u r r e d f i r s t .
[ 8 . 3
% ] a n d 1 [ 2
. 3 % ] i n
p l a c e b o g r o u p )
E x c l u s i o n : p l a n n e d c e r c l a g e , a c u t e c e r v i c a l
d i l a t i o n
, a l l e r g i c r e a c t i o n t o p r o g e s t e r o n e ,
c u r r e n t o r r e c e n t p r o g e s
t o g e n
t r e a t m e n
t w i t h i n
t h e p r e v i o u s f o u r w e e k s
, c h r o n i c m e d i c a l
c o n d i t i o n s t h a t w o u l d i n t e r f e r e w i t h s t u d y
p a r t i c i p a t
i o n o r e v a l u a
t i o n o f
t h e
t r e a t m e n
t ,
m a j o r f e t a l a n o m a l y o r k n o w n c h r o m o s o m a l
a b n o r m a l i t y
, u t e r i n e a n a t o m i c m a l f o r m a t i o n ,
v a g i n a l
b l e e
d i n g , o r k n o w n o r s u s p e c
t e d
c l i n i c a l c h o r i o a m n i o n i t i s .
e r c l a g e
W o m e n w i t h a s h o r t c e r v i x
I n c l u s i o n : w o m e n w i t h a s i n g l e t o n o r m u l t i p l e
g e s t a t i o n a n d t r a n s v a g i n a l s o n o g r a p h i c d i l a t i o n
o f t h e i n t e r n a l o s w i t h e i t h e r m e m b r a n e
p r o l a p s e i n t o t h e e n d o c e r v i c a l c a n a l a t l e a s t
2 5 % o f t h e t o t a l c e r v i c a l l e n g t h b u t n o t b e y o n d
t h e e x t e r n a l o s o r a c e r v i c a l l e n g t h < 2 5 m m .
5 3
4 9
1 6 2 4
M c D o n a l d p r o c e d u r e
w i t h a s i n g l e s t i t c h o f
p e r m a n e n t
m o n o f i l a m e n t o r n o
c e r c l a g e
C l i n d a m y c i n a n d
i n d o m e t a c i n w h i c h w e r e
d i s c o n t i n u e d a t
a p p r o x i m a t e l y 2 4 h o u r s
a f t e r r a n d o m i z a t i o n
( b o t h g r o u p s ) . R e s c u e
c e r c l a g e ( b o t h g r o u p s )
G e s t a t i o n a l a g e a t
d e l i v e r y a n d n e o n a t a l
m o r b i d i t y
E x c l u s i o n : m e m b r a n e p r o l a p s e b e y o n d t h e
e x t e r n a l o s , a n y f e t a l l e t h a l c o n g e n i t a l o r
c h r o m o s o m a l a n o m a l y , a b r u p t i o n p l a c e n t a
,
u n e x p l a i n e d v a g i n a l b l e e d i n g ,
c h o r i o a m n i o n i t i s , p e r s i s t e n t u t e r i n e a c t i v i t y
w i t h c e r v i c a l c h a n g e , o r a n y o t h e r
c o n t r a i n d i c a t i o n t o a c e r c l a g e p r o c e d u r e .
n d s
W o m e n w i t h a s h o r t c e r v i x
I n c l u s i o n : w o m e n w i t h a s i n g l e t o n g e s t a t i o n ,
r i s k f a c t o r s a n d / o r s y m p t o m s o f c e r v i c a l
i n c o m p e t e n c e , a n d a c e r v i c a l l e n g t h < 2 5 m m .
1 4
1 2
1 4 2 3
M c D o n a l d p r o c e d u r e
w i t h b r a i d e d p o l y e s t e r
t h r e a d o r n o c e r c l a g e
A m o x i c i l l i n / c l a v u l a n i c
a c i d f o r 7 d a y s a n d b e d
r e s t ( b o t h g r o u p s ) ; t w o
1 0 0 m g s u p p o s i t o r i e s o f
i n d o m e t h a c i n ( c e r c l a g e
g r o u p ) . R
e s c u e c e r c l a g e
( n o c e r c l a g e g r o u p )
P r e t e r m b i r t h < 3 4
w e e k s
, a n d n e o n a t a l
m o r b i d i t y a n d
m o r t a l i t y
E x c l u s i o n : f e t a l c o n g e n i t a l / c h r o m o s o m a l
a n o m a l i e s , p r e t e r m r u p t u r e o f m e m b r a n e s ,
m e m
b r a n e s
b u l g i n g
i n t o t h e v a g i n a , o r
i n t r a u t e r i n e i n f e c t i o n .
d o m , B r a z i l ,
S l o v e n i a ,
le
W o m e n w i t h a s h o r t c e r v i x
I n c l u s i o n : w o m e n w i t h a s i n g l e t o n g e s t a t i o n
a n d c e r v i c a l l e n g t h 1 5 m m .
2 1
2 3
2 2 2 4
S h i r o d k a r s u t u r e w i t h
m e r s i l e n e t a p e o r n o
c e r c l a g e
P r o p h y l a c t i c
c o r t i c o s t e r o i d s f o r f e t a l
l u n g m a t u r a t i o n ( b o t h
g r o u p s
) ; s i n g
l e d o s e o
f
e r y t h r o m y c i n ( c e r c l a g e
g r o u p )
P r e t e r m b i r t h < 3 3
w e e k s
E x c l u s i o n : m a j o r
f e t a l a b n o r m a l
i t i e s , p a i n f u l
r e g u l a r u t e r i n e c o n t r a c t i o n s , h
i s t o r y o f
r u p t u r e d
m e m
b r a n e s a n
d c e r v
i c a l c e r c
l a g e
i n
s i t u
, a n d
d i l a t e d c e r v
i x d u r i n g
t r a n s v a g i n a
l
s o n o g r a p h y .
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$ wa t e r ma r k -t e xt
$ wa t e r ma r k -t e xt
$ wa t e r m
a r k -t e xt
CONDE-AGUDELO et al. Page 27
N o o f w o m e n w
i t h
C L < 2 5 m m ,
s i n g
l e t o n g e s t a t
i o n ,
a n d p r e v
i o u s
p r e t e r m
b i r t
h
g c o u n
t r i e s
P r i m a r y
t a r g e t p o p u
l a t i o n
I n c l u s i o n
/ e x c
l u s i o n c r
i t e r
i a
I n t e r v e n t
i o n g r o u p
C o n
t r o l g r o u p
G e s
t a t i o n a l
a g e a t
s c r e e n
i n g
( w e e
k s )
I n t e r v e n
t i o n
C o i n t e r v e n t
i o n s
P r i m a r y o u
t c o m e
W o m e n w i t h a s h o r t c e r v i x
I n c l u s i o n : w o m e n w i t h a s i n g l e t o n o r t w i n
g e s t a t i o n a n
d c e r v
i c a l
l e n g
t h < 2 5 m m o r
s i g n i f i c a n t f u n n e l i n g ( > 2 5 % ) .
1 4
1 7
1 4 2 3
M c D o n a l d p r o c e d u r e
w i t h m e r s i
l e n e
t a p e o r
n o c e r c l a g e
B e d r e s t ( b o t h g r o u p s )
P r e t e r m b i r t h < 3 5
w e e
k s
E x c l u s i o n : h i s t o r y - i n d i c a t e d p r o p h y l a c t i c
c e r c l a g e
, l a s t p r e g n a n c y d e l i v e r e d a t t e r m ,
m a j o r f e t a l a n o m a l y , t r i p l e t s o r h i g h e r o r d e r
p r e g n a n c y , p
r e v i o u s i n c l u s i o n i n a n o t h e r t r i a l ,
c u r r e n t d r u g a b u s e , o r r e g u l a r c o n t r a c t i o n s
l e a d i n g t o p r e t e r m l a b o r a f t e r i d e n t i f i c a t i o n o f
a b n o r m a l c e r v i x b y u l t r a s o n o g r a p h y
.
W o m e n w i t h a s h o r t c e r v i x ,
s i n g l e t o n g e s t a t i o n , a n d p r i o r
s p o n t a n e o u s p r e t e r m b i r t h
I n c l u s i o n : w o m e n w i t h a s i n g l e t o n g e s t a t i o n , a t
l e a s t 1 p r i o r s p o n t a n e o u s p r e t e r m b i r t h
b e t w e e n
1 7 a n d 3 3 w e e k s o f g e s t a t i o n , a n d
m i d t r i m e s
t e r c e r v i c a
l l e n g t
h < 2 5 m m .
1 4 8
1 5 3
1 6 2 2
M c D o n a l d p r o c e d u r e
w i t h n o n a b s o r b a b l e
s u t u r e ( b r a i d e d t a p e ) o r
n o c e r c
l a g e
1 7 - h y d r o x y p r o g e s t e r
o n e c a p r o a t e ( 4 7
[ 3 1 . 8 % ] i n c e r c l a g e
g r o u p a n
d 5 2 [ 3 4 . 0 ] i n
n o c e r c l a g e g r o u p ) ;
v a g i n a l p r o g e s t e r o n e ( 1
[ 0 . 7
% ] i n n o c e r c l a g e
g r o u p ) . R e s c u e c e r c l a g e
( n o c e r c l a g e g r o u p )
P r e t e r m b i r t h < 3 5
w e e k s
E x c l u s i o n : f e t a l a n o m a l y , p l a n n e d h i s t o r y -
i n d i c a t e d c e r c l a g e f o r a c l i n i c a l d i a g n o s i s o f
c e r v i c a l i n s u f f i c i e n c y , a n d c l i n i c a l l y
s i g n i f i c a n t m a t e r n a l / f e t a l c o m p l i c a t i o n s ( e g ,
f e t a l r e d c e
l l i s o i m m u n
i z a t
i o n ,
t r e a t e d c h r o n i c
h y p e r t e n s i o n , i n s u l i n - d e p e n d e n t d i a b e t e s ) a n d
c e r v i c a l i n s u f f i c i e n c y - i n d i c a t e d c e r c l a g e i n a
p r i o r p r e g n a n c y .
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$ wa t e r ma r k -t e xt
$ wa t e r ma r k -t e xt
$ wa t e r m
a r k -t e xt
CONDE-AGUDELO et al. Page 28
T A B L E 2
a r i s o n s
D i r e c
t c o m p a r i s o n s
I n d i r e c t c o m p a r i s o n
V a g
i n a l p r o g e s
t e r o n e v e r s u s p l a c e b o
C e r c l a g e v e r s u s n o c e r c l a g e
V a g
i n a l p r o g e s
t e r o n e v e r s u s
c e r c
l a g e
N o . o f
t r i a l s
I n t e r v e n
t i o n n /
N ( % )
C o n t r o l n /
N ( % )
R R ( 9 5 %
C I )
I 2 ( % )
N o . o
f t r i a l s
I n t e r v e n
t i o n n /
N ( % )
C o n
t r o l n /
N ( % )
R R ( 9 5 %
C I )
P v a
l u e a
R R ( 9 5 %
C I )
P v a
l u e b
4
9 / 7 5 ( 1 2 . 0 )
2 4 / 8 3 ( 2 8 . 9 )
0 . 4 7 ( 0
. 2 4 0 . 9 1 )
0
5
4 8 / 2 5 0 ( 1 9 . 2 )
7 5 / 2 5 4 ( 2 9 . 5 )
0 . 6 6 ( 0
. 4 8 0 . 9 1 )
> . 1
0
0 . 7 1 ( 0 . 3 4 1 . 4 9 )
0 . 8 8
ity / m o r t a l i t y
c
4
7 / 7 5 ( 9
. 3 )
2 0 / 8 3 ( 2 4 . 1 )
0 . 4 3 ( 0
. 2 0 0 . 9 4 )
0
5
3 9 / 2 5 0 ( 1 5 . 6 )
6 3 / 2 5 4 ( 2 4 . 8 )
0 . 6 4 ( 0
. 4 5 0 . 9 1 )
> . 1
0
0 . 6 7 ( 0 . 2 9 1 . 5 7 )
0 . 8 6
4
3 4 / 7 5 ( 4 5 . 3 )
4 6 / 8 3 ( 5 5 . 4 )
0 . 8 4 ( 0
. 6 1 1 . 1 4 )
0
5
1 0 5 / 2 5 0 ( 4 2 . 0 )
1 5 4 / 2 5 4 ( 6 0
. 6 )
0 . 7 0 ( 0
. 5 8 0 . 8 3 )
> . 1
0
1 . 2 0 ( 0 . 8 4 1 . 7 2 )
0 . 9 4
4
2 0 / 7 5 ( 2 6 . 7 )
3 5 / 8 3 ( 4 2 . 2 )
0 . 6 6 ( 0
. 4 2 1 . 0 4 )
0
5
7 1 / 2 5 0 ( 2 8 . 4 )
1 0 5 / 2 5 4 ( 4 1
. 3 )
0 . 7 0 ( 0
. 5 5 0 . 8 9 )
> . 1
0
0 . 9 4 ( 0 . 5 6 1 . 5 8 )
0 . 9 8
4
6 / 7 5 ( 8
. 0 )
1 4 / 8 3 ( 1 6 . 9 )
0 . 5 1 ( 0
. 2 2 1 . 1 8 )
0
5
3 2 / 2 5 0 ( 1 2 . 8 )
5 1 / 2 5 4 ( 2 0 . 1 )
0 . 6 4 ( 0
. 4 3 0 . 9 6 )
> . 1
0
0 . 8 0 ( 0 . 3 1 2 . 0 2 )
0 . 9 2
e
4
3 / 7 5 ( 4
. 0 )
1 2 / 8 3 ( 1 4 . 5 )
0 . 3 8 ( 0
. 1 3 1 . 0 7 )
7
4
1 3 / 2 0 7 ( 6
. 3 )
2 1 / 1 9 6 ( 1 0 . 7 )
0 . 6 1 ( 0
. 3 2 1 . 1 9 )
> . 1
0
0 . 6 2 ( 0 . 1 8 2 . 1 6 )
0 . 8 4
h e m o r r h a g e
4
1 / 7 5 ( 1
. 3 )
3 / 8 3
( 3 . 6
)
0 . 5 0 ( 0
. 0 8 2 . 9 6 )
8
4
0 / 2 0 7 ( 0
. 0 )
4 / 1 9 6 ( 2
. 0 )
0 . 2 8 ( 0
. 0 5 1 . 6 4 )
> . 1
0
1 . 7 9 ( 0 . 1 5 2 2
. 0 0 )
0 . 8 0
4
0 / 7 5 ( 0
. 0 )
1 / 8 3
( 1 . 2
)
0 . 4 7 ( 0
. 0 2 1 0
. 3 2 )
0
4
1 / 2 0 7 ( 0
. 5 )
2 / 1 9 6 ( 1
. 0 )
0 . 6 2 ( 0
. 0 8 4 . 6 7 )
> . 1
0
0 . 7 6 ( 0 . 0 2 3 1
. 4 9 )
0 . 9 0
4
0 / 7 5 ( 0
. 0 )
6 / 8 3
( 7 . 2
)
0 . 2 5 ( 0
. 0 5 1 . 3 7 )
0
4
8 / 2 0 7 ( 3
. 9 )
1 7 / 1 9 6 ( 8 . 7 )
0 . 4 7 ( 0
. 2 1 1 . 0 5 )
> . 1
0
0 . 5 3 ( 0 . 0 8 3 . 3 5 )
0 . 7 8
2
0 / 5 1 ( 0
. 0 )
1 / 4 7
( 2 . 1
)
0 . 3 1 ( 0
. 0 1 7 . 3 2 )
0
1
7 / 1 3 5 ( 5
. 2 )
6 / 1 2 7 ( 4
. 7 )
1 . 1 0 ( 0
. 3 8 3 . 1 8 )
> . 1 0
0 . 2 8 ( 0 . 0 1 9 . 0 1 )
0 . 5 8
ty d
4
3 / 7 5 ( 4
. 0 )
1 6 / 8 3 ( 1 9 . 3 )
0 . 2 9 ( 0
. 1 1 0 . 8 1 )
0
4
1 7 / 2 0 7 ( 8
. 2 )
2 8 / 1 9 6 ( 1 4 . 3 )
0 . 6 0 ( 0
. 3 4 1 . 0 6 )
> . 1 0
0 . 4 8 ( 0 . 1 5 1 . 5 3 )
0 . 7 5
4
5 / 7 5 ( 6
. 7 )
7 / 8 3
( 8 . 4
)
0 . 7 3 ( 0
. 2 5 2 . 1 0 )
0
5
2 2 / 2 5 0 ( 8
. 8 )
3 5 / 2 5 4 ( 1 3 . 8 )
0 . 6 5 ( 0
. 4 0 1 . 0 7 )
> . 1 0
1 . 1 2 ( 0 . 3 5 3 . 6 3 )
0 . 9 6
4
1 1 / 7 5 ( 1 4 . 7 )
3 3 / 8 3 ( 3 9 . 8 )
0 . 3 9 ( 0
. 2 1 0 . 7 1 )
0
4
5 7 / 2 0 7 ( 2 7 . 5 )
6 7 / 1 9 6 ( 3 4 . 2 )
0 . 6 3 ( 0
. 3 4 1 . 1 8 )
< . 1
0
0 . 6 2 ( 0 . 2 6 1 . 4 8 )
0 . 8 4
4
3 0 / 7 5 ( 4 0 . 0 )
4 2 / 8 3 ( 5 0 . 6 )
0 . 7 9 ( 0
. 5 5 1 . 1 3 )
0
5
8 6 / 2 5 0 ( 3 4 . 4 )
1 1 7 / 2 4 9 ( 4 7
. 0 )
0 . 6 5 ( 0
. 4 2 1 . 0 0 )
< . 1
0
1 . 2 2 ( 0 . 6 9 2 . 1 4 )
0 . 9 3
4
8 / 7 5 ( 1 0 . 7 )
1 8 / 8 3 ( 2 1 . 7 )
0 . 5 3 ( 0
. 2 6 1 . 1 1 )
0
5
4 2 / 2 5 0 ( 1 6 . 8 )
6 6 / 2 4 9 ( 2 6 . 5 )
0 . 6 4 ( 0
. 4 5 0 . 9 0 )
> . 1 0
0 . 8 3 ( 0 . 3 7 1 . 8 5 )
0 . 9 3
e o n a t a l i n t e n s i v e c a r e u n i t ; R R , r e l a t i v e r i s k
Q s t a t i s t i c s ( t e s t o f h e t e r o g e n e i t y )
in g e v e n t s : r e s p i r a t o r y d i s t r e s s s y n d r o m e , g r a d e I I I / I V i n t r a v e n t r i c u l a r h e m o r r h a g e , n e c r o t i z i n g e n t e r o c o l i t i s
, n e o n a t a l s e p s i s
, b r o n c h o p u l m o n a r y d y s p l a s i a , o r p e r i n a t a l d e a t h
in g e v e n t s : r e s p i r a t o r y d i s t r e s s s y n d r o m e , g r a d e I I I / I V i n t r a v e n t r i c u l a r h e m o r r h a g e , n e c r o t i z i n g e n t e r o c o l i t i s
, n e o n a t a l s e p s i s , o r b r o n c h o p u l m o n a r y d y s p l a s i a
-
8/13/2019 progesteron vagina1
29/29
$ wa t e r ma r k -t e xt
$ wa t e r ma r k -t e xt
$ wa t e r m
a r k -t e xt
CONDE-AGUDELO et al. Page 29
T A B L E 3
S e n s i t i v i t y a n a l y s i s b y e x c l u d i n g w o m e n w h o r e c e i v e d p r o g e s t e r o n e i n t r i a l s e v a l u a t i n g c e r c l a g e a n d p a t i e n t s w h o u n d e r w e n t a c e r c l a g e i n t r i a l s
e v a l u a t i n g v a g i n a l p r o g e s t e r o n e
D i r e c
t c o m p a r i s o n s
I n d i r e c t c o m p a r i s o n
V a g
i n a l p r o g e s
t e r o n e v e r s u s p
l a c e
b o
C e r c l a g e v e r s u s n o c e r c
l a g e
V a g
i n a l p r o g e s
t e r o n e v e r s u s c e r c
l a g e
O u t c o m e
I n t e r v e n
t i o n n /
N ( % )
C o n
t r o l n /
N ( % )
R R ( 9 5 %
C I )
I n t e r v e n
t i o n
C o n
t r o l
n / N ( % )
C o n
t r o l n /
N ( % )
R R ( 9 5 %
C I )
R R ( 9 5 %
C I )
P v a
l u e a
P r e t e r m b i r t h < 3 2 w e e k s
8 / 7 1 ( 1 1 . 3 )
2 4 / 8 2 ( 2 9 . 3 )
0 . 4 4 ( 0
. 2 2 0 . 8 7 )
4 0 / 2 0 3 ( 1 9 . 7 )
6 4 / 2 0 1 ( 3 1 . 8 )
0 . 6 3 ( 0
. 4 5 0 . 8 8 )
0 . 7 0 ( 0
. 3 3 1 . 5 0 )
0 . 8 8
P r e t e r m b i r t h < 2 8 w e e k s
5 / 7 1 ( 7
. 0 )
1 4 / 8 2 ( 1 7 . 1 )
0 . 4 6 ( 0
. 1 9 1 . 1 1 )
2 8 / 2 0 3 ( 1 3 . 8 )
4 3 / 2 0 1 ( 2 1 . 4 )
0 . 6 5 ( 0
. 4 3 1 . 0 0 )
0 . 7 1 ( 0
. 2 7 1 . 8 8 )
0 . 8 8
P r e t e r m
b i r t h
< 3 5 w e e k s
1 7 / 7 1 ( 2 3 . 9 )
3 5 / 8 2 ( 4 2 . 7 )
0 . 5 9 ( 0
. 3 7 0 . 9 5 )
5 7 / 2 0 3 ( 2 8 . 1 )
8 5 / 2 0 1 ( 4 2 . 3 )
0 . 6 7 ( 0
. 5 1 0 . 8 8 )
0 . 8 8 ( 0
. 5 1 1 . 5 2 )
0 . 9 6
P r e t e r m b i r t h < 3 7 w e e k s
3 1 / 7 1 ( 4 3 . 7 )
4 6 / 8 2 ( 5 6 . 1 )
0 . 8 0 ( 0
. 5 8 1 . 1 0 )
8 2 / 2 0 3 ( 4 0 . 4 )
1 2 3 / 2 0 1 ( 6 1 . 2 )
0 . 6 7 ( 0
. 5 5 0 . 8 2 )
1 . 1 9 ( 0
. 8 2 1 . 7 4 )
0 . 9 4
P e r i n a t a l m o r t a l i t y
4 / 7 1 ( 5
. 6 )
7 / 8 2 ( 8
. 5 )
0 . 6 1 ( 0
. 2 0 1 . 9 1 )
1 9 / 2 0 3 ( 9
. 4 )
3 3 / 2 0 1 ( 1 6 . 4 )
0 . 5 8 ( 0
. 3 5 0 . 9 8 )
1 . 0 5 ( 0
. 3 0 3 . 6 4 )
0 . 9 8
C I , c o n f i d e n c e i n t e r v a l ; R R , r e l a t i v e r i s k
a P v a l u e f o r t h e t e s t o f a s s o c i a t i o n
Am J Obstet Gynecol . Author manuscript; available in PMC 2013 January 01.